Individual
RYAN M JONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Mailing address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
74
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2020
Last updated
09/02/2021
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